Nokea
The first White House Conference on Children and Youth was called by President __
- A. Theodore Roosevelt
- B. Franklin Roosevelt
- C. Woodrow Wilson
- D. Herbert Hoover
Correct Answer: A
Rationale: Theodore Roosevelt called the first White House Conference in 1909.
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In a routine prenatal visit, the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR) has dropped to 120 beats/min from a rate of 160 beats/min earlier in the pregnancy. What is the nurses first action?
- A. Ask if the patient has taken a sedative.
- B. Notify the physician.
- C. Turn the patient to her right side.
- D. Record the rate as a normal finding.
Correct Answer: D
Rationale: The FHR at term ranges from a low of 110 to 120 beats/min to a high of 150 to 160 beats/min. This should be recorded as normal. The FHR drops in the late stages of pregnancy.
What does the nurse explain can affect the survival of the X- and Y-bearing sperm after intercourse?
- A. Age
- B. Estrogen level
- C. Body temperature
- D. Level of feminine hygiene
Correct Answer: B
Rationale: Estrogen levels and the $\mathrm{pH}$ of the female reproductive tract can affect the survival of the X- and Y-bearing sperm as well as their motility.
When assessing the neonate's eyes, the nurse notes the following: absence of tears, corneas of unequal size, constriction of the pupils in response to bright light, and the presence of red circles on the pupils on ophthalmic examination. Which of these findings needs further assessment?
- A. The absence of tears.
- B. Comeas of unequal size.
- C. Constriction of the pupils.
- D. The presence of red circles on the pupils.
Correct Answer: B
Rationale: Corneas of unequal size may indicate a congenital anomaly or injury and require further assessment.
Which hormone initiates the maturation of the ovarian follicle?
- A. Estrogen
- B. Follicle-stimulating hormone
- C. Progesterone
- D. Luteinizing hormone
Correct Answer: B
Rationale: Follicle-stimulating hormone (FSH) stimulates the maturation of a follicle.
The nurse is reading a pregnant patients history and physical. What information does the nurse recognize might indicate the need for a cesarean delivery? (Select one that does not apply.)
- A. History of childhood rickets
- B. Immobile coccyx
- C. Prepregnant weight of 100 pounds
- D. Pelvic Fracture
Correct Answer: C
Rationale: Pelvic conditions that may predispose to a cesarean delivery are childhood rickets, pelvic fracture, and immobile coccyx. 'E' refers to pelvic fracture 3 years ago.